The Government of Indonesia has identified public-private partnerships (PPPs) as one key mechanism to bolster the economy and grow the health sector to be more responsive to the needs of the population. Especially in the era of the national health insurance scheme, Jaminan Kesehatan Nasional (JKN), the healthcare needs are continually growing, and government should explore partnerships with the private sector that improves access to high quality healthcare while maintaining control of costs. The Government has passed a permenkes on infrastructure PPPs for health (Permenkes 40/2018). As the Ministry of Health, Bappenas, and Ministry of Finance develop the implementation guide for this permenkes, there is interest in adding non-infrastructure PPPs within its scope.
The USAID-funded Health Policy Plus (HP+) Project is working with the Government of Indonesia to develop this non-infrastructure PPP portion of the implementation guide. Ultimately, this guide should be the regulatory framework that facilitates the government to establish systems and approaches to engage with the private sector to invest in health beyond infrastructure to improve access to and quality of healthcare. At the same time, this activity should identify key actors and better understand the issue areas so that these actors can be mobilized towards realizing non-infrastructure PPPs.
To develop this implementation guide, HP+ will take a three-step approach. The implementation guide should be informed by other sector’s PPP guidelines, as well as the procurement laws and regulations already in place for health, filling in the gaps in these policies as necessary to realize non-infrastructure PPPs in health. As these relevant policies are being gathered, stakeholders should be mapped and political economy of PPPs should be assessed to identify champions and detractors, as well as levers that could be pulled so that the momentum for PPPs in health could be built concurrently as the implementation guide is being developed.
Thus, as the first step, we will conduct a combination of a rapid legal and regulatory review and stakeholder mapping with the following topics:
1 What laws and regulations exist for PPPs in non-health sectors?
2 What laws and regulations exist for health procurement and those that influence private sector investment in non-infrastructure health initiatives?
3 Who are the key public and private actors relevant to PPPs, and what are their current capacity and willingness to establish and implement PPPs?
Concurrently (as the second step), the types of non-infrastructure PPPs should be distilled from global best practice to those most applicable to the Indonesian context to be further considered and assessed for feasibility at the subnational level. Based on the findings from these two analyses, (as the third step), the implementation guide will be developed.
The Consultant will lead in gathering relevant laws, regulations, and any additional relevant documents for the step 1 legal and regulatory review (topics 1 and 2) and inform topic 3. The Consultant will also lead step 2 by developing a short powerpoint deck of non-infrastructure PPPs for consideration by the Government. Finally, in collaboration with HP+ team, the Consultant will draft the Implementation Guide under Step 3.
The Consultant will work closely with both Jakarta- and DC-based HP+ staff to ensure comprehensive review of the laws and regulations, and to compile these non-infrastructure PPP options.
* With HP+ staff, develop a plan of approach in the scope of the legal and regulatory review
* Gather relevant health and non-health laws and regulations relevant to PPPs and private sector investments, including procurement laws, regulations, and guidelines, as well as PPP implementation guides for non-health sectors
* Compile a comprehensive list of laws and regulations with summary recommendations of developing the implementation guide
* Provide input to the list of key public and private actors relevant to health PPPs and to the interview guide to assess their capacity and willingness to engage in PPPs
* Develop a summary powerpoint presentation in English on global examples of non-infrastructure PPPs and concrete recommendations and justifications on which PPPs would be most relevant to the Indonesian context
* Develop the non-infrastructure PPP implementation guideline for health based on similar PPP implementation guides from non-health sectors as well as health infrastructure, and in complement to other health procurement laws and regulations in place.
* Participate in periodic calls and meetings with HP+ as necessary and requested by the project; actively communicate with HP+ on issues/delays affecting the assignment
* Master’s degree in a public health, economics, business or other related discipline
* At least 5 years professional work experience
* Strong familiarity with Government of Indonesia health priorities and public-private partnerships
* Experience developing interview protocols, and conducting interviews with senior level officials
* Fluency in Bahasa and excellent English writing, communication, and reporting skills
* Excellent interpersonal and communication skills
* Ability to work within tight deadlines
* Flexibility, adaptability, and resourcefulness
About the Organization
Palladium is a global leader in the design, development and delivery of Positive Impact - the intentional creation of enduring social and economic value. We work with foundations, investors, governments, corporations, communities and civil society to formulate strategies and implement solutions that generate lasting social, environmental and financial benefits.
For the past 50 years, we have been making Positive Impact possible. With a team of more than 2,500 employees operating in 90 plus countries and a global network of more than 35,000 technical experts, Palladium has improved - and is committed to continuing to improve - economies, societies and most importantly, people's lives.
Palladium is a child-safe organisation, and screens applicants for suitability to work with children. We also provide equal employment to all participants and employees without regard to race, color, religion, gender, age, disability, sexual orientation, veteran or marital status.
Palladium develops and delivers solutions that create positive impact for communities, businesses, societies and economies. We transform lives and create enduring value by working with governments, corporations and non-profit organisations. We create positive impact through more than 100 current projects with more than 2000 employees operating in over 90 countries.
Palladium implements the USAID-funded Health Policy Plus (HP+) Project. HP+ works with key stakeholders to advance health policy and financing for family planning and reproductive health (FP/RH), HIV, and maternal and newborn health at national and subnational levels. The project aims to improve the enabling environment for equitable and sustainable health services, supplies, and delivery systems through policy development and implementation, with an emphasis on voluntary, rights-based health programs, and by strengthening in-country partners' capacity to navigate complex environments for effective policy design, implementation, and financing aligned to the existing priorities.